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Grace Johnson

Nicole Christel
Congregate Meal Activity
11/16/14
This meal plan was created for a 66 year old female who suffers from lactose intolerance.
Her BMI is 21.8, which is in the normal, healthy range. Our biggest concern was to create
meals that would give her an adequate amount of calcium because older aged females are at
risk for osteoporosis. Other nutrients of concern for a lactose intolerant individual include
riboflavin, vitamin A, vitamin D, phosphorus, and magnesium because these are most
commonly found in dairy products.
The guidelines for the Congregate Meal Program require a calorie range of 550-700 per
meal and meals should follow the DGA for meal planning, including specific recommendations
for older adults. Individuals over the age of 51 should reduce their sodium intake to less than
1,500 mg, less than 10% of calories should be from saturated fats, and cholesterol intake
should be less than 300 mg.
The most difficult issue we had in creating our plan was limiting the sodium intake to
under 1,500 mg, while keeping each meal over 550 calories. It was also difficult to find dairyfree products using Super Tracker. There are certain food items that exist as dairy free, such as
cottage cheese or yogurt, but they werent found on Super Tracker. However, we were able to
find soy milk and lactose free milk.
We were able to get calcium from fortified foods such as soy milk, orange juice, spinach,
almonds, oatmeal, and beans. We used Lactaid on Super Tracker, which didnt have a Vitamin
D fortified option, so our results will show vitamin D is low on some days; however, in real life
we would use a milk option that was fortified to ensure the client had enough vitamin D. We
also included fish in her meals in order to increase her Vitamin D intake.
In order to make her meals appetizing, we made sure there were a variety of textures
and colors to offer. We wanted to be able to offer maple syrup with French toast, or dressings
with salads, while still keeping in mind the sodium and fat content of the meal. We
counteracted consuming a lot of sodium by using fresh foods rather than canned or
prepackaged items. We offered every main entre with at least one side and a beverage. We
had a goal to stick to the My Plate recommendations of keeping half your plate fruits and
vegetables as well as half your grains whole grains. In the end we came up with five days of
healthy and delicious lactose-free meals for our client.

Day 11/3/14
Total Calories: 1749
Breakfast: 1 slice French toast with cup sliced almonds and 1 Tbs maple syrup; 1 cup sliced banana; 1 egg white scrambled with cup
mushroom; 6 oz calcium fortified OJ (612 calories)
Lunch: Salad with 1 cup spinach, cup arugula, cup chopped onion, cup cherry tomatoes, cup sliced almonds, 1 cup sliced pears, and 2
Tbs balsamic vinegar dressing; whole wheat roll; 1 cup grapes; 8 oz Soy milk or Lactaid (577 calories)
Dinner: 4 oz Baked Salmon with 1 Tbs BBQ glaze; cup brown rice; 1 cup steamed broccoli; cup steamed brussels sprouts; 1 medium
orange; 8 oz soy milk or Lactaid (560 calories)

Edna's Nutrients Report 11/03/14 - 11/03/14


Your plan is based on a 1600 Calorie allowance.

Nutrients

Target

Average Eaten

Status

Total Calories

1600 Calories

1749 Calories

Over

Protein (g)***

46 g

85 g

OK

Protein (% Calories)***

10 - 35% Calories

19% Calories

OK

Carbohydrate (g)***

130 g

277 g

OK

Carbohydrate (% Calories)***

45 - 65% Calories

63% Calories

OK

Dietary Fiber

21 g

34 g

OK

Total Sugars

No Daily Target or Limit

148 g

No Daily Target or Limit

Added Sugars

No Daily Target or Limit

19 g

No Daily Target or Limit

Total Fat

20 - 35% Calories

21% Calories

OK

Saturated Fat

< 10% Calories

3% Calories

OK

Polyunsaturated Fat

No Daily Target or Limit

6% Calories

No Daily Target or Limit

Monounsaturated Fat

No Daily Target or Limit

10% Calories

No Daily Target or Limit

Linoleic Acid (g)***

11 g

9g

Under

Linoleic Acid (% Calories)***

5 - 10% Calories

5% Calories

OK

-Linolenic Acid (% Calories)***

0.6 - 1.2% Calories

0.3% Calories

Under

-Linolenic Acid (g)***

1.1 g

0.6 g

Under

Omega 3 - EPA

No Daily Target or Limit

595 mg

No Daily Target or Limit

Omega 3 - DHA

No Daily Target or Limit

840 mg

No Daily Target or Limit

Cholesterol

< 300 mg

184 mg

OK

Minerals

Target

Average Eaten

Status

Calcium

1200 mg

1912 mg

OK

Potassium

4700 mg

4710 mg

OK

Sodium**

1500 mg

1488 mg

OK

Day: 11/7/14
Total calories: 1813
Breakfast: 8 oz Soy milk or Lactaid,1 cup sweet potato hash browns, 1 slice of whole wheat toast, 1 tbs honey, 1 orange (549)
Lunch: tuna sandwich with 1 cup tuna, cup celery, cup onion, 4 tsp lemon juice, 2 slices whole wheat bread, 8 oz Soy milk or Lactaid, 8
baby carrots, 1 medium sliced peach (602 calories)
Dinner: 8 oz Soy milk or Lactaid, cup shredded chicken breast, pene noodles 1 and cup, 1 garlic clove, 2 tbs sunflower seeds, cup
asparagus, 1 small cracked wheat roll (661 calories)

Edna's Nutrients Report 11/07/14 - 11/07/14


Your plan is based on a 1600 Calorie allowance.

Nutrients

Target

Average Eaten

Status

Total Calories

1600 Calories

1813 Calories

Over

Protein (g)***

46 g

130 g

OK

Protein (% Calories)***

10 - 35% Calories

29% Calories

OK

Carbohydrate (g)***

130 g

271 g

OK

Carbohydrate (% Calories)***

45 - 65% Calories

60% Calories

OK

Dietary Fiber

21 g

38 g

OK

Total Sugars

No Daily Target or Limit

116 g

No Daily Target or Limit

Added Sugars

No Daily Target or Limit

21 g

No Daily Target or Limit

Total Fat

20 - 35% Calories

13% Calories

Under

Saturated Fat

< 10% Calories

4% Calories

OK

Polyunsaturated Fat

No Daily Target or Limit

4% Calories

No Daily Target or Limit

Monounsaturated Fat

No Daily Target or Limit

4% Calories

No Daily Target or Limit

Linoleic Acid (g)***

11 g

8g

Under

Linoleic Acid (% Calories)***

5 - 10% Calories

4% Calories

Under

-Linolenic Acid (% Calories)***

0.6 - 1.2% Calories

0.1% Calories

Under

-Linolenic Acid (g)***

1.1 g

0.3 g

Under

Omega 3 - EPA

No Daily Target or Limit

77 mg

No Daily Target or Limit

Omega 3 - DHA

No Daily Target or Limit

355 mg

No Daily Target or Limit

Cholesterol

< 300 mg

181 mg

OK

Minerals

Target

Average Eaten

Status

Calcium

1200 mg

2174 mg

Over

Potassium

4700 mg

5042 mg

OK

Sodium**

1500 mg

1470 mg

OK

Copper

900 g

2350 g

OK

Iron

8 mg

14 mg

OK

Magnesium

320 mg

525 mg

OK

Phosphorus

700 mg

2098 mg

OK

Selenium

55 g

221 g

OK

Zinc

8 mg

12 mg

OK

Vitamins

Target

Average Eaten

Status

Vitamin A

700 g RAE

2766 g RAE

OK

Vitamin B6

1.5 mg

3.9 mg

OK

Vitamin B12

2.4 g

4.6 g

OK

Vitamin C

75 mg

181 mg

OK

Vitamin D

15 g

11 g

Under

Vitamin E

15 mg AT

12 mg AT

Under

Vitamin K

90 g

222 g

OK

Folate

400 g DFE

500 g DFE

OK

Thiamin

1.1 mg

2.2 mg

OK

Riboflavin

1.1 mg

2.6 mg

OK

Niacin

14 mg

42 mg

OK

Choline

425 mg

475 mg

OK

Information about dietary supplements.


** If you are African American, hypertensive, diabetic, or have chronic kidney disease, reduce your sodium to 1500 mg a day. In addition, people who are age
51 and
older need to reduce sodium to 1500 mg a day. All others need to reduce sodium to less than 2300 mg a day.
*** Nutrients that appear twice (protein, carbohydrate, linoleic acid, and -linolenic acid) have two separate recommendations:
1) Amount eaten (in grams) compared to your minimum recommended intake.
2) Percent of Calories eaten from that nutrient compared to the recommended range.
You may see different messages in the status column for these 2 different recommendations.